Giovanni GIUGLIANO 医师
整形外科医师
Post-partum pathologies: from rectus diastasis to the pelvic floor. Multi-specialist approach and combined techniques
目标: Background-Aim: the aim of this study is to present guidelines for the management of postpartum problems: rectus diastasis, pelvic floor prolapse and intestinal dysbiosis. In addition to presenting a variation of the surgical technique for the treatment of diastasis recti with the addition of muscle regeneration by transformed monocytes, namely 'Muscle Regeneration and Abdominal Lift Technique' (MURAL-T).
材料 / 方法: Methods: From May 2020 to December 2024, 150 postpartum women between 35 and 65 were operated for DRA only with the personal muralt technique or in association with combined interventions for associated pathologies. All patients were followed by a multidisciplinary team composed of a plastic surgeon, endocrinologist, general surgeon, gynecologist, physiotherapist.
结果: Results: The maximal intra-rectal width (as calculated by CT scan) of the 50 women allocated to Group I (only Mural-T) decreased from 46 mm to 3 mm after three months (P < 0.001);
in the 50 women allocatedto Group II (MuralT + Burch anterior colposuspension), the maximal intra-rectal width decreased from of 65 mm to 1.1 mm three months after
the intervention (P < 0.001), while in the remaining 50 women of Group III (MuralT + monocyte injection), it decreased from 49 mm to 0 mm.
A pre-operative and post-operative defeco MRI at 6 months for the evaluation of the pelvic floor.
总结: Conclusion: the Mural-T program treats all postpartum medical and surgical pathologies using a multidisciplinary team that uses combined methods with produced good results in terms of functional, aesthetical, morphological outcomes, and quality of life.
